NPI | 1225703259 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE ACKERSON CEO 870-448-5733 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-08-11 |
Last Update Date | 2023-08-03 |